Central Georgia Mri Llc in Macon - Diagnostic Radiology
Central Georgia Mri Llc - NPI 1114908522
Central Georgia Mri Llc is a Diagnostic Radiology in Macon, Georgia. Central Georgia Mri Llc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Central Georgia Mri Llc is 1114908522. The last update date is 2012-11-06.
Central Georgia Mri Llc's current location address is 770 Pine St Ste L15, Macon, Georgia. You can contact this provider via phone number 4787461020 and fax number 4787460591. The mailing address for Central Georgia Mri Llc is 770 Pine St Ste L15, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Georgia Mri Llc |
|---|---|
| Address | 770 Pine St Ste L15, Macon, Georgia |
| Phone Number | 4787461020 |
| Fax Number | 4787460591 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Grossnickle E. Mark |
| Credentials | M.D. |
| Telephone Number | 4787461020 |
NPI Number Detail
| NPI Number | 1114908522 |
|---|---|
| Provider Enumeration Date | 2005-11-11 |
| Last Updated Date | 2012-11-06 |
Provider Mailing Address Detail
| Address | 770 Pine St Ste L15 |
|---|---|
| City | Macon |
| State | Georgia (GA) |
| Post Code | 312017519 |
| Phone Number | 4787461020 |
| Fax Number | 4787460591 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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What is the unique identifier code issued to Central Georgia Mri Llc by the Centers for Medicare & Medicaid Services?
The Central Georgia Mri Llc has been assigned the NPI (National Provider Identifier) 1114908522. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Central Georgia Mri Llc is located?
The Central Georgia Mri Llc is situated at the following address: 770 Pine St Ste L15, Macon, GA, 312017519.
What is Central Georgia Mri Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Central Georgia Mri Llc is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.
When did the Central Georgia Mri Llc receive its 1114908522?
The Central Georgia Mri Llc was issued its 1114908522 on 2005-11-11, which is the date when the organization was assigned this unique identifier.
As of what date were the Central Georgia Mri Llc's details last updated?
The information pertaining to the Central Georgia Mri Llc, including its address, specialty, and other details, was most recently updated on 2012-11-06.